Reflection on the reform of health service system in the era of value-based healthcare_West China Medical Journal

Authors：

 WEN Jin

Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

WEN Jin, Email: huaxiwenjin@163.com

Keywords：

Value-based healthcare; healthcare service system; public welfare; medical insurance

DOI：

10.7507/1002-0179.202211169

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Value-based healthcare (VBHC) is an important guideline for current and future healthcare services. In practice, VBHC should be the best goal of public welfare of healthcare service. Meanwhile, VBHC and cost-effectiveness analysis together provide scientific evidence for healthcare decision-making. Pay by value is inevitable in the next stage of the reform of the payment system of medical insurance, and the health service system should be reconstructed based on VBHC. Finally, the challenges of VBHC implementation are discussed.

Citation： WEN Jin. Reflection on the reform of health service system in the era of value-based healthcare. West China Medical Journal, 2022, 37(12): 1761-1764. doi: 10.7507/1002-0179.202211169 Copy

1.	Mullins CD, Seal B, Seoane-Vazquez E, et al. Good research practices for measuring drug costs in cost-effectiveness analyses: medicare, medicaid and other US government payers perspectives: the ISPOR drug cost task force report-part IV. Value Health, 2010, 13(1): 18-24.
2.	Mintzberg H. Toward healthier hospitals. Health Care Manage Rev, 1997, 22(4): 9-18.
3.	Weimar C. Shifting the focus to results: value-based insurance. Physician Exec, 2008, 34(6): 58-59.
4.	Porter ME. What is value in health care?. N Engl J Med, 2010, 363(26): 2477-2481.
5.	Murray AC. Value-based surgical care: a view from the surgeon’s knife. Br J Hosp Med (Lond), 2018, 79(6): 316-321.
6.	Mittal C, Lee HCD, Goh KS, et al. ValuedCare program: a population health model for the delivery of evidence-based care across care continuum for hip fracture patients in Eastern Singapore. J Orthop Surg Res, 2018, 13(1): 129.
7.	Tran K, Rahal R, Fung S, et al. Choosing wisely in cancer control across Canada-a set of baseline indicators. Curr Oncol, 2017, 24(3): 201-206.
8.	Scott I. Ten clinician-driven strategies for maximising value of Australian health care. Aust Health Rev, 2014, 38(2): 125-133.
9.	万玉霞, 曹永福. 公立医院回归公益性的伦理难题及其破题之道—兼评《公立医院回归公益性的伦理探析》. 医学与哲学, 2012, 33(11): 63-64.
10.	Tsevat J, Moriates C. Value-based health care meets cost-effectiveness analysis. Ann Intern Med, 2018, 169(5): 329-332.
11.	Seshamani M, Sen AP. Moving toward high-value health care: integrating delivery system reform into 2020 policy proposals. Issue Brief (Commonw Fund), 2018, 2018: 1-11.
12.	Shaikh U, Roth A. Five organizational strategies to deliver high-value health care. Am J Med Qual, 2017, 32(5): 566-568.
13.	Elshaug AG, Rosenthal MB, Lavis JN, et al. Levers for addressing medical underuse and overuse: achieving high-value health care. Lancet, 2017, 390(10090): 191-202.
14.	Harbaugh NC Jr. Pay for performance: quality- and value-based reimbursement. Pediatr Clin North Am, 2009, 56(4): 997-1007.
15.	迈克尔·波特, 托马斯·李. 医改大战略. 哈佛商业评论(中文版), 2013, 10: 88-107.
16.	Committee on the Learning Health Care System in America, Institute of Medicine. Best care at lower cost: the path to continuously learning health care in America. Washington (DC): National Academies Press (US), 2013.
17.	Shams L, Sari AA, Yazdani S, et al. Model for value-based policy-making in health systems. Int J Prev Med, 2021, 12: 13.

1. Mullins CD, Seal B, Seoane-Vazquez E, et al. Good research practices for measuring drug costs in cost-effectiveness analyses: medicare, medicaid and other US government payers perspectives: the ISPOR drug cost task force report-part IV. Value Health, 2010, 13(1): 18-24.
2. Mintzberg H. Toward healthier hospitals. Health Care Manage Rev, 1997, 22(4): 9-18.
3. Weimar C. Shifting the focus to results: value-based insurance. Physician Exec, 2008, 34(6): 58-59.
4. Porter ME. What is value in health care?. N Engl J Med, 2010, 363(26): 2477-2481.
5. Murray AC. Value-based surgical care: a view from the surgeon’s knife. Br J Hosp Med (Lond), 2018, 79(6): 316-321.
6. Mittal C, Lee HCD, Goh KS, et al. ValuedCare program: a population health model for the delivery of evidence-based care across care continuum for hip fracture patients in Eastern Singapore. J Orthop Surg Res, 2018, 13(1): 129.
7. Tran K, Rahal R, Fung S, et al. Choosing wisely in cancer control across Canada-a set of baseline indicators. Curr Oncol, 2017, 24(3): 201-206.
8. Scott I. Ten clinician-driven strategies for maximising value of Australian health care. Aust Health Rev, 2014, 38(2): 125-133.
9. 万玉霞, 曹永福. 公立医院回归公益性的伦理难题及其破题之道—兼评《公立医院回归公益性的伦理探析》. 医学与哲学, 2012, 33(11): 63-64.
10. Tsevat J, Moriates C. Value-based health care meets cost-effectiveness analysis. Ann Intern Med, 2018, 169(5): 329-332.
11. Seshamani M, Sen AP. Moving toward high-value health care: integrating delivery system reform into 2020 policy proposals. Issue Brief (Commonw Fund), 2018, 2018: 1-11.
12. Shaikh U, Roth A. Five organizational strategies to deliver high-value health care. Am J Med Qual, 2017, 32(5): 566-568.
13. Elshaug AG, Rosenthal MB, Lavis JN, et al. Levers for addressing medical underuse and overuse: achieving high-value health care. Lancet, 2017, 390(10090): 191-202.
14. Harbaugh NC Jr. Pay for performance: quality- and value-based reimbursement. Pediatr Clin North Am, 2009, 56(4): 997-1007.
15. 迈克尔·波特, 托马斯·李. 医改大战略. 哈佛商业评论(中文版), 2013, 10: 88-107.
16. Committee on the Learning Health Care System in America, Institute of Medicine. Best care at lower cost: the path to continuously learning health care in America. Washington (DC): National Academies Press (US), 2013.
17. Shams L, Sari AA, Yazdani S, et al. Model for value-based policy-making in health systems. Int J Prev Med, 2021, 12: 13.

Next Article
Construction of a regulatory system for integrated health care services in China: a qualitative analysis based on research articles and policy announcements

West China Medical Journal

Reflection on the reform of health service system in the era of value-based healthcare

Abstract Full text Figures/Tables Video References Cited by

Next Article

Format

Content